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Journal of Urban Health

, Volume 95, Issue 3, pp 391–400 | Cite as

Homicides, Public Goods, and Population Health in the Context of High Urban Violence Rates in Cali, Colombia

  • Lina Martínez
  • Sergio Prada
  • Daniela Estrada
Article

Abstract

Obesity and frequent mental and physical distress are often associated with major health problems. The characteristics of the urban environment, such as homicide rates and public goods provision, play an important role in influencing participation in physical activity and in overall mental health. This study aimed to determine whether there was a relationship between homicide rates and public goods provision on the health outcomes of the citizens of Cali, Colombia, a city known for its high urban violence rate and low municipal investment in public goods. We used a linear probability model to relate homicide rates and public goods provision (lighted parks, effective public space per inhabitant, and bus stations) at the district level to health outcomes (obesity and frequent mental and physical distress). Individual data were obtained from the 2014 CaliBRANDO survey, and urban context characteristics were obtained from official government statistics. After controlling for individual covariates, results showed that homicide rates were a risk factor in all examined outcomes. An increase in 1.0 m2 of public space per inhabitant reduced the probability of an individual being obese or overweight by 0.2% (95% confidence interval (CI) = − 0.004 to − 0.001) and the probability of frequent physical distress by 0.1% (95% CI = − 0.002 to − 0.001). On average, the presence of one additional bus station increased the probability of being obese or overweight by 1.1%, the probability of frequent mental distress by 0.3% (95% CI = 0.001–0.004), and the probability of frequent physical distress by 0.02% (95% CI = 0.000–0.003). Living in districts with adequate public space and lighted parks lowers the probability of being obese and high homicide rates, which are correlated with poor health outcomes in Cali, Colombia. Investments in public goods provision and urban safety to reduce obesity rates may contribute to a better quality of life for the population.

Keywords

Obesity Health outcomes Homicide rates Public goods Cali 

References

  1. 1.
    Haub C, Gribble J, Jacobsen L. World Population Data Sheet 2011. Population Reference Bureau, Washington. Retrieved from http://www.prb.org/Publications/Datasheets/2011/world-population-data-sheet.aspx. Accessed 17 Jan 2017.
  2. 2.
    Geller AL. Smart growth: a prescription for livable cities. Am J Public Health. 2003;93(9):1410–5.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Kain J, Vio F, Albala C. Obesity trends and determinant factors in Latin America. Cad Saude Publica. 2003;19(1):S77–86.CrossRefPubMedGoogle Scholar
  4. 4.
    Heinrich KM, Lee RE, Regan GR, et al. How does the built environment relate to body mass index and obesity prevalence among public housing residents? Am J Health Promot. 2008;22(3):187–94.CrossRefPubMedGoogle Scholar
  5. 5.
    McAlexander KM, Banda JA, Mcalexander JW, Lee RE. Physical activity resource attributes and obesity in low-income African Americans. J Urban Health. 2009;86(5):696–707.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Roux AV, Merkin SS, Arnett D, Chambless L, Massing M, Nieto FJ, et al. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001;345(2):99–106.CrossRefGoogle Scholar
  7. 7.
    Roux AV. Residential environments and cardiovascular risk. J Urban Health. 2003;80(4):569–89.CrossRefGoogle Scholar
  8. 8.
    Grafova IB, Freedman VA, Kumar R, Rogowski J. Neighborhoods and obesity in later life. Am J Public Health. 2008;98(11):2065–71.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Hoehner CM, Brennan LK, Brownson RC, Handy SL, Killingsworth R. Opportunities for integrating public health and urban planning approaches to promote active community environments. Am J Health Promotion. 2003;18(1):14–20.CrossRefGoogle Scholar
  10. 10.
    Renalds A, Smith TH, Hale PJ. A systematic review of built environment and health. Fam Community Health. 2010;33(1):68–78.CrossRefPubMedGoogle Scholar
  11. 11.
    Suglia SF, Shelton RC, Hsiao A, Wang YC, Rundle A, Link BG. Why the neighborhood social environment is critical in obesity prevention. J Urban Health. 2016;93(1):206–12.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Pachico E. Latin America dominates list of world’s most violent cities. InSight Crime Investigation and Analysis of Organized Crime. Retrieved from http://www.insightcrime.org/news-analysis/latin-america-dominates-list-of-worlds-most-violent-cities. Published January 22, 2015. Accessed 24 Jan 2017.
  13. 13.
    Wen M, Maloney TN. Latino residential isolation and the risk of obesity in Utah, the role of neighborhood socioeconomic, built-environmental, and subcultural context. J Immigr Minor Health. 2011;13(6):1134–41.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Lindström M. Means of transportation to work and overweight and obesity, a population-based study in southern Sweden. Prev Med. 2008;46(1):22–8.Google Scholar
  15. 15.
    Auchincloss AH, Mujahid MS, Shen M, Michos ED, Whitt-Glover MC, Diez Roux AV. Neighborhood health-promoting resources and obesity risk (the multi-ethnic study of atherosclerosis). Obesity. 2013;21(3):621–8.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Takehito T, Nakamura K, Watanabe M. Urban residential environments and senior citizens’ longevity in megacity areas, the importance of walkable green spaces. J Epidemiol Community Health. 2002;56(12):913–8.CrossRefGoogle Scholar
  17. 17.
    Gomez JE, Johnson BA, Selva M, Sallis JF. Violent crime and outdoor physical activity among inner-city youth. Prev Med. 2004;39(5):876–81.CrossRefPubMedGoogle Scholar
  18. 18.
    Hoehner CM, Brennan LK, Elliott MB, Handy SL, Brownson RC. Perceived and objective environmental measures and physical activity among urban adults. Am J Prev Med. 2005;28(2):105–16.CrossRefPubMedGoogle Scholar
  19. 19.
    Fish JS, Ettner S, Ang A, Brown AF. Association of perceived neighborhood safety on body mass index. Am J Public Health. 2010;100(11):2296–303.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Dustmann C, Fasani F. The effect of local area crime on mental health. Econ J. 2015;126(593):978–1017.CrossRefGoogle Scholar
  21. 21.
    Rundle A, Diez Roux AV, Freeman LM, Miller D, Neckerman KM, Weiss CC. The urban built environment and obesity in New York City, a multilevel analysis. Am J Health Promotion. 2007;21(4s):326–34.Google Scholar
  22. 22.
    Menezes AM, Perez-Padilla R, Jardim JR, et al. Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study), a prevalence study. Lancet. 2005;366(9500):1875–81.CrossRefPubMedGoogle Scholar
  23. 23.
    Moncada E. Cities, business, and the politics of urban violence in Latin America. Stanford, CA: Stanford University Press; 2016.CrossRefGoogle Scholar
  24. 24.
    Centers for Disease Control and Prevention (CDC). Measuring healthy days. Georgia: Atlanta; 2002.Google Scholar
  25. 25.
    Kanter R, Caballero B. Global gender disparities in obesity, a review. Adv Nutr. 2012;3(4):491–8.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Sobal J. Social and cultural influences on obesity. In: Björntorp P, editor. International textbook of obesity. Chichester, UK: John Wiley & Sons, ltd; 2002. p. 305–22.Google Scholar
  27. 27.
    Jeffery RW, Rick AM. Cross-sectional and longitudinal associations between body mass index and marriage-related factors. Obes Res. 2002;10(8):809–15.CrossRefPubMedGoogle Scholar
  28. 28.
    Averett S, Sikora A, Argys L. For better or worse, relationship status and body mass index. Econ Hum Biol. 2008;6(3):330–49.CrossRefPubMedGoogle Scholar
  29. 29.
    Anderson L, Eyler A, Galuska D, Brown D, Brownson R. Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States. Prev Med. 2002;35(4):390–6.CrossRefPubMedGoogle Scholar
  30. 30.
    Chang V, Christakis N. Self-perception of weight appropriateness in the United States. Am J Prev Med. 2003;24(4):332–9.CrossRefPubMedGoogle Scholar
  31. 31.
    Frank LD, Andresen MA, Schmid TL. Obesity relationships with community design, physical activity, and time spent in cars. Am J Prev Med. 2004;27(2):87–96.CrossRefPubMedGoogle Scholar
  32. 32.
    Bell AC, Ge K, Popkin B. The road to obesity or the path to prevention, motorized transportation and obesity in China. Obes Res. 2002;10(4):277–83.CrossRefPubMedGoogle Scholar
  33. 33.
    Brown DW, Balluz LS, Ford ES, et al. Associations between short-and long-term unemployment and frequent mental distress among a national sample of men and women. J Occup Env Med. 2003;45(11):1159–66.CrossRefGoogle Scholar
  34. 34.
    Lamothe-Galette C. Healthy Days, Measuring the Health Related Quality of Life, New Jersey 2003. Trenton, NJ: New Jersey Department of Health and Senior Services, Center for Health Statistics 2005.Google Scholar
  35. 35.
    Zuluaga B, Benitez E. La apuesta por el desarrollo humano en Cali. In: Centro Editorial Fundación Universidad Del Valle, editor. Visión Cali 2036, diagnóstico estratégico. Cali: Universidad del Valle; 2010. p. 63–88.Google Scholar
  36. 36.
    Assari S, Caldwell CH, Zimmerman MA. Perceived neighborhood safety during adolescence predicts subsequent deterioration of subjective health two decades later; gender differences in a racially-diverse sample. Int J Prev Med. 2015;6:117.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Assari S, Lankarani M, Caldwell CH, Zimmerman MA. Fear of neighborhood violence during adolescence predicts development of obesity a decade later: gender differences among African Americans. Arch Trauma Res. 2016;5(2):e31475.PubMedPubMedCentralGoogle Scholar
  38. 38.
    Assari S, Smith JR, Caldwell CH, Zimmerman MA. Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. For Soc. 2015;5(1):151–70.Google Scholar
  39. 39.
    Assari S, Lankarani MM. Discrimination and psychological distress: gender differences among Arab Americans. Front. in Psychiatry. 2017; 8(23).Google Scholar
  40. 40.
    Assari S, Lankarani MM. Stressful life events and risk of depression 25 years later: race and gender differences. Front Public Health. 2016;4:49Google Scholar

Copyright information

© The New York Academy of Medicine 2017

Authors and Affiliations

  1. 1.School of Business and Economic StudiesUniversidad Icesi & POLISCaliColombia
  2. 2.School of Business and Economic StudiesUniversidad Icesi & PROESACaliColombia
  3. 3.School of Business and Economic StudiesUniversidad Icesi & CIENFICaliColombia

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